Provider Demographics
NPI:1437750817
Name:NW FAMILY PSYCHOLOGY ROCK POINTE
Entity Type:Organization
Organization Name:NW FAMILY PSYCHOLOGY ROCK POINTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHAISE MARIE
Authorized Official - Middle Name:HOHENSTREET
Authorized Official - Last Name:GIES
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:509-340-9922
Mailing Address - Street 1:1212 N WASHINGTON ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2441
Mailing Address - Country:US
Mailing Address - Phone:509-443-3620
Mailing Address - Fax:
Practice Address - Street 1:1212 N WASHINGTON ST STE 105
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2441
Practice Address - Country:US
Practice Address - Phone:509-443-3620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty